Melissa Park, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95203585 Issued in CA

Practice address

17705 Meadow Mist CT
Riverside, CA 92503-6582

Phone

(714) 864-7768

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1376133454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 MEADOW MIST CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036582",
            "telephone_number": "714-864-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17705 MEADOW MIST CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036582",
            "telephone_number": "714-864-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MELISSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95203585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Sang Park, D.D.S
• Jin Hwi Park, DDS
• Jong Min Park, PHARMD.
• Julie Son Park
• Kyungsin Park, DDS
• Myung Kee Park, DDS
• Nathaniel Park, MD
• Sherie L Park, LMFT
• Vanessa Ceballos Park, O.D.
• Wonsok Park, D.C.

• Registered Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.